Hybrid Field Reimbursement Lead — Payer Access Expert

GE HealthCare; United States; Hybrid; USD 132,000 - 198,000; Full time

Job summary

GE HealthCare is seeking a Field Reimbursement Manager to serve the Mid-Atlantic region, guiding payer strategies and patient access across the PDx portfolio. You will educate customers, develop reimbursement tools, and coordinate with cross-functional teams to resolve complex access issues.

The role requires 5+ years in US healthcare, FRM experience, and strong knowledge of Medicare/Medicaid policies. This field-based position includes up to 40% travel and hybrid work arrangements.

Qualifications

• Bachelor’s degree or equivalent.
• Minimum of 5 years’ experience in the US healthcare medical device, or pharmaceutical sector.
• Minimum of 3 years’ US FRM experience
• Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes.
• Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics.
• Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning.
• Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations.
• Experience working with HUB or reimbursement call center.
• Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives.
• Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions.
• Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills.
• Ability to operate independently and successfully as a leader in a matrix environment.
• Highly organized, strategic thinker with excellent verbal and written presentation skills.
• Ability to travel to connect with customers, and field sales teams.
• Demonstrated competence with CRM systems, PowerPoint, Excel & Word.

Responsibilities

• Subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution.
• Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts.
• Responsible for proactive customer education about the PDx portfolio’s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation.
• Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources.
• Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals.
• Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions.
• Attend conferences to promote GEHC’s Patient Support Services.

Skills

Field reimbursement expertise

Payer claim processes

Education presentations

CRM systems

PowerPoint

Excel

Word

Travel readiness

Education

Bachelor's degree or equivalent

Tools

CRM systems

PowerPoint

Excel

Word

Job description

GE HealthCare is seeking a Field Reimbursement Manager to serve the Mid-Atlantic region, guiding payer strategies and patient access across the PDx portfolio. You will educate customers, develop reimbursement tools, and coordinate with cross-functional teams to resolve complex access issues.

The role requires 5+ years in US healthcare, FRM experience, and strong knowledge of Medicare/Medicaid policies. This field-based position includes up to 40% travel and hybrid work arrangements.